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The nurse uses a sterile syringe to obtain a urine specimen from a client's indwelling
urinary catheter. After placing the specimen in a biohazard bag, the nurse transports the
specimen to the laboratory. During which part of this procedure should the nurse wear
gloves?
A. transporting the urine specimen to the laboratory
B. Clamping the urinary catheter prior to the collection
C. Using the syringe to remove the specimen form the catheter
D. recording the output on the flowsheet in the clients room - ANSWERS-C. Using the
syringe to remove the specimen form the catheter
The electronic medication system alerts the nurse that the medication dose scanned or
the client is two times higher than the dose prescribed. Which action should the nurse
implement?
A. ask the pharmacist if another dose can be dispensed
B. Withhold the medication until the exact dose is available
C. report... of prescribed and available doses
,D. calculate the dose on hand to match the prescribed dose - ANSWERS-D. calculate
the dose on hand to match the prescribed dose
The nurse is obtaining a systolic blood pressure by palpation. While inflating the cuff,
the radial pulse is no longer palpable at 90mHG, Which action should the nurse take?
A. Document the absence of the radial pulse
B. Inflate the blood pressure cuff to 120mmHG
C. Release the manometer valve immediately
D. record a palpable systolic pressure of 90mmHg - ANSWERS-B. Inflate the blood
pressure cuff to 120 mmHg.
A client with atrial fibrillation receives a prescription for a loading dose of Digoxin 0.5mg
PO. The medication is available in 125 mcg tablets. How many tablets should the nurse
administer?
(Enter NUMERICAL value only). - ANSWERS-4 tablets.
Which assessment data reflects the need for the nurse to include the problem, "risk for
falls" in a client's plan of care?Reference range: Hemoglobin [14 to 18 g/dL (140 to 180
g/L)]
A. expressed feelings of depression
B. Recent serum hemoglobin level of 16 g/dL (160 g/dL)
C. Stooped posture with a steady gait
D. opioid analgesic received one hour ago - ANSWERS-D. Opioid analgesic received
one hour ago.
The healthcare provider prescribes Digoxin elixir 125 mcg PO daily. The drug is
available in a 60mL bottle labeled "Digoxin elixir 0.05mg/mL". How many mL should the
nurse administer?
(Enter NUMERIC value only) - ANSWERS-2.5 mL.
What action should the nurse take when preparing to obtain a stool specimen for occult
blood from a client with soft, solid, light brown feces?
A. Wait to obtain the specimen until the observable blood is pre- sent
, B. Withhold the specimen collection until tarry black stool is ob- served
C. Obtain the specimen from the client's current bowel movement
D. Contact the healthcare provider before obtaining the specimen - ANSWERS-C.
Obtain the specimen from the client's current bowel movement.
The nurse educator is conducting a class for UAP. Which action indicates that a UAP
understands gloving procedures?
A. don sterile gloves when caring for clients with HIV
B. Keeps a pair of gloves in uniform pocket
C. puts on new gloves when entering a client's room
D. Uses sterile gloves when handling bodily fluids - ANSWERS-C. puts on new gloves
when entering a client's room
The nurse is caring for a client with type 2 diabetes who had surgery for a large bowel
resection with a colostomy placement. The client has developed hyperglycemia which
requires self injections of insulin after discharge When designing the postoperative plan
of care, which outcome statement should the nurse use?
A. the client will adhere to medication regimen after discharge
B. the client's breath sounds will be auscultated by the nurse every 4 hours
C. the client will demonstrate the ability to change the ostomy bag in two days
D. the client attempts to self administer insulin but is unable to perform injection -
ANSWERS-C. The client will demonstrate the ability to change the ostomy bag in two
days.
When administering a new medication to a patient, the nurse logs in the electronic
medication administration record (eMAR). Which action should the nurse take next?
A. Reconcile the medication to be administered with the initial client prescription
B. Scan the medication barcode to document administration on the eMAR
C. verify the clients identification by scanning the barcode on the armband
D. remove the mediation from the unit dose packaging while verifying the dose -
ANSWERS-B. Scan the medication barcode to document administration on the eMAR.